Nicotine and Weed: What Happens If You Use Both?

Introduction

As of 2021, the prevalence of tobacco cigarette smoking in the United States has declined significantly. However, the impact of cigarette smoke remains a leading cause of preventable diseases, contributing to over 480,000 deaths annually. Concurrently, the consumption of cannabis, whether for recreational or medicinal purposes, has gained widespread acceptance. 

However, a distinct intersection exists where these two substances meet – the combined use of nicotine and weed. 

This article delves into the topic of combining nicotine and weed, exploring the potential consequences of this dual consumption.

Related: Smoking Weed With Asthma: Risks, Benefits, Alternatives

What Is Nicotine?

Nicotine is a natural chemical compound found in tobacco leaves, acting as a botanical insecticide. It is the most abundant element produced by tobacco, and trace amounts are also present in certain vegetables like potatoes, tomatoes, and eggplants. When tobacco is either chewed or lit and inhaled, nicotine enters the bloodstream through designated mechanisms. Inhalation sends it through the lungs, while chewing results in absorption through the gums. Once in the bloodstream, nicotine travels to the brain, affecting the reward center in the limbic system.

One of nicotine's notable effects is the release of dopamine, often referred to as the "feel-good" chemical, creating pleasurable sensations. This dopamine release contributes to the addictive nature of nicotine, as users may develop a dependence on the substance over time. Additionally, nicotine has a range of adverse effects on major organs, including the lungs, heart, reproductive system, and kidneys. 

Nicotine itself is not considered a carcinogenic substance. The association between tobacco use and cancer is primarily attributed to the numerous harmful chemicals and carcinogens present in tobacco smoke. While nicotine is addictive and has other adverse effects on health, it is not a direct cause of cancer. 

What Happens When Nicotine and Weed are Combined

Research on the combined use of nicotine and weed is still evolving, yielding mixed results. Studies have identified associations between cannabis use and cardiovascular events, with varying outcomes depending on tobacco use. Some research suggests that nicotine may mitigate cannabis-induced cognitive impairments, while other studies propose that nicotine's presence may increase cannabis consumption.

Related: How Much Weed Can I Buy With My Medical Card?

Different Studies, Different Results

Studies examining the effects of combined nicotine and cannabis use on adolescents show varied outcomes. While some indicate a masking effect of nicotine on cannabis-induced cognitive impairment, others propose that nicotine only offsets certain adverse effects. One study even found that cannabis consumption reduced overall tobacco and nicotine intake. The conflicting results underscore the need for further research to establish a comprehensive understanding of the health implications of dual consumption.

Alternative Methods of Consumption

Both tobacco and cannabis are traditionally smoked, but alternative methods such as vaping have gained popularity. While vaping reduces harm to the throat and lungs, concentrated nicotine in e-cigarettes can heighten addiction risks. Similarly, high-THC cannabis vapes with concentrated oils pose similar addictive potential. Safer alternatives, such as tinctures, capsules, topicals, and edibles, provide a way to enjoy the potential benefits of cannabis without the cardiovascular and respiratory risks associated with smoking.

Weed Cigarettes and Health Concerns

Weed cigarettes, often referred to as spliffs, combine tobacco and cannabis. Despite potential benefits like extending the stash's duration, the health implications of combining nicotine and cannabis remain unfavorable. Smoking both substances simultaneously increases harm to the cardiovascular and pulmonary systems, amplifying the risk of dependence on both.

Who Should Exercise Caution

Nicotine consumption, especially through tobacco, is universally discouraged due to its broad impact on bodily functions. Pregnant and breastfeeding individuals are urged to be cautious, as nicotine exposure may lead to congenital disabilities. Cannabis, while holding potential benefits, should be approached with caution by individuals with pre-existing cardiovascular or respiratory conditions. Exploring alternative consumption methods may be advisable for those with such health concerns.

Precautions for Dual Consumption

Combining nicotine and cannabis is not recommended for those prioritizing their health. If you choose to use both substances, moderation is crucial. Nicotine replacement therapy (NRT) can be considered for those seeking to quit smoking, providing a safer alternative with reduced health risks. Exploring alternative cannabis consumption methods, like edibles or tinctures, and keeping dosages low can help mitigate adverse effects.

Conclusion

As research on the combined use of nicotine and weed continues, it is essential for you to be aware of potential health risks. Minimizing or avoiding dual consumption, exploring alternative methods, and seeking professional advice for those with pre-existing conditions can contribute to a healthier approach to the use of these substances.

 

FAQs

  • Research on the combined use of tobacco and cannabis is still evolving, with conflicting results. While some studies suggest a potential increase in harmful effects on the cardiovascular and pulmonary systems when both substances are smoked together, other research indicates that combining them may lead to a reduction in overall consumption. The health implications of smoking a spliff versus smoking tobacco or cannabis separately may vary depending on individual factors and the specific outcomes being measured.

  • Yes, there are alternative methods of consuming nicotine and cannabis that are considered safer for the cardiovascular and respiratory systems. For nicotine, nicotine replacement therapy (NRT) offers alternatives such as gum, patches, or nasal spray, which aim to reduce withdrawal symptoms without the harmful effects of smoking. In the case of cannabis, methods like tinctures, capsules, topicals, and edibles provide ways to experience the potential benefits without the risks associated with smoking. Vaping, while perceived as a less harmful alternative, still poses risks, and its safety depends on various factors, including the specific substances being vaporized

  • Medical professionals strongly advise pregnant individuals to avoid nicotine and cannabis use due to potential risks. Nicotine exposure, especially through tobacco smoke, can lead to congenital disabilities and adverse effects on fetal development. Similarly, while cannabis has potential benefits, its impact on pregnancy remains a topic of concern. Pregnant individuals are urged to discuss any substance use with their healthcare providers to ensure the well-being of both the mother and the developing fetus. Seeking alternative methods for managing stress or medical conditions during pregnancy is generally recommended.

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This article has been reviewed by Steven Fiore, MD.

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